U.S. Department of Justice OMB No. 1115-0136 Immigration and ...-2026

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Click ‘Get Form’ to open it in the editor.
Begin with Section 1, where you will enter your personal information. Fill in your last name, first name, middle initial, and maiden name if applicable. Provide your address, date of birth, and Social Security number.
Indicate your citizenship status by checking the appropriate box: U.S. citizen, lawful permanent resident, or alien authorized to work. Ensure you provide any necessary alien numbers and expiration dates.
Sign and date the form at the bottom of Section 1 to attest that the information provided is accurate.
In Section 2, employers must review documents presented by the employee. Record details from either List A or a combination of List B and C as required.
Complete Section 3 if there are updates or reverifications needed regarding employment eligibility.

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